LEILA NADER CREATORE
NPI 1326686023
Nurse Practitioner - Family in Youngstown, OH

Active since December 13, 2019PECOS EnrolledAccepts Medicare Assignment
86.09/100
CMS Quality Rating
1001 COVINGTON ST, YOUNGSTOWN, OH 44510(330) 480-3258(330) 480-4119 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2024, Jul 10, 2020, Dec 13, 2019 (3 updates tracked since 2019).

About Leila Nader Creatore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEILA NADER CREATORE (NPI 1326686023) is an individual family provider in Youngstown, Ohio, licensed in Ohio (APRN.CNP.025266) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1326686023
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLEILA NADER CREATORE
Location Address1001 COVINGTON STYoungstown, OH 44510-1617
Mailing Address1622 E Market StWarren, OH 44483-6613 · (330) 399-7215 · Fax (330) 399-2411
Fax(330) 480-4119
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 13, 2019
Last NPPES UpdateApril 19, 20243 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
✔ NPI 1326686023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.025266
1001 COVINGTON ST, Youngstown, OH 44510

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leila Nader Creatore is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274962857
PECOS Enrollment IDI20200402000686
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Leila Creatore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dentist
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Gastroenterology
1622 E MARKET ST
Warren, OH 44483
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability99
Improvement Activities40
Cost80.04

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Surgery
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Student in an Organized Health Care Education/Training Program
1001 COVINGTON ST, ST ELIZABETH YOUNGSTOWN HOSPITAL, INTERNAL MEDICINE
YOUNGSTOWN, OH 44510
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Internal Medicine
1001 COVINGTON ST
YOUNGSTOWN, OH 44510
Dentist (General Practice)
1001 COVINGTON ST
YOUNGSTOWN, OH 44510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leila Creatore's NPI number?

The NPI number for Leila Creatore is 1326686023. It was assigned to this individual provider in the NPPES registry on December 13, 2019.

Where is Leila Creatore located?

Leila Creatore practices at 1001 Covington St, Youngstown, OH 44510. The listed phone number is (330) 480-3258.

What is Leila Creatore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leila Creatore enrolled in Medicare?

Yes. Leila Creatore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Leila Creatore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leila Creatore reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH) and The Gastroenterology Clinic & Endoscopy Center Inc (Warren, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leila Creatore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leila Creatore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 5 other insurers list Leila Creatore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Leila Creatore affiliated with any hospitals?

According to CMS data, Leila Creatore is affiliated with St Elizabeth Youngstown Hospital and Hmhp St Elizabeth Boardman Health Center.

When was this NPI record last updated?

The NPPES record for Leila Creatore was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.